Individual
MRS. TRACEY RENEE PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1385 S HIGHLAND AVE STE B1, JACKSON, TN 38301-7547
(731) 251-3470
(731) 201-5250
Mailing address
1340 DRY CREEK RD, PINSON, TN 38366-1735
(731) 251-3470
(731) 201-5250
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
30860
TN
Other
Enumeration date
12/14/2021
Last updated
09/17/2024
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